FDA Adverse Event Malfunction Summary report: N

HAMILTON-C6

MDR report key: 19709169 · Received July 10, 2024

Report

Report Number
3001421318-2024-01650
Event Type
Malfunction
Date Received
July 10, 2024
Date of Event
July 3, 2024
Report Date
October 24, 2024
Manufacturer
HAMILTON MEDICAL AG
Product Code
CBK
UDI-DI
07630002808590
PMA / PMN Number
K201658
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

HAMILTON MEDICAL AG COMES TO THE CONCLUSION: INVESTIGATION ONGOING.

Additional Manufacturer Narrative · 0

HAMILTON MEDICAL AG COMES TO THE CONCLUSION: INVESTIGATION ONGOING. THE REVIEW OF THE COMPLAINT DEMONSTRATED THAT THERE WAS NON MALFUNCTION WITH THE DEVICE HAMILTON-C6 WHICH WAS FUNCTIONING WITHIN THE INTENDED SPECIFICATIONS AND TOLERANCES.

Additional Manufacturer Narrative · 0

HAMILTON MEDICAL AG COMES TO THE CONCLUSION: INVESTIGATION ONGOING. HAMILTON MEDICAL AG COMPLAINT NUMBER: (B)(4).

Description of Event or Problem · 0

THE FOLLOWING WAS REPORTED TO HAMILTON MEDICAL AG: SUMMARY:O2 MIXER IN THE SYSTEM TEST SHOW HIGHER VALUES THAN SET.

Description of Event or Problem · 0

THE FOLLOWING WAS REPORTED TO HAMILTON MEDICAL AG: SUMMARY:O2 MIXER IN THE SYSTEM TEST SHOW HIGHER VALUES THAN SET.

Description of Event or Problem · 0

THE FOLLOWING WAS REPORTED TO HAMILTON MEDICAL AG: SUMMARY:O2 MIXER IN THE SYSTEM TEST SHOW HIGHER VALUES THAN SET.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1133433 HAMILTON-C6 HAMILTON-C6 VENTILATOR CBK HAMILTON MEDICAL AG 160021 07630002808590

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown